{"id":28070,"date":"2025-06-21T12:59:35","date_gmt":"2025-06-21T10:59:35","guid":{"rendered":"https:\/\/drromanovaleria.ch\/?post_type=infographie&#038;p=28070"},"modified":"2026-06-08T16:44:56","modified_gmt":"2026-06-08T14:44:56","slug":"causes-excessive-sweating","status":"publish","type":"infographie","link":"https:\/\/drromanovaleria.ch\/en\/infographie\/causes-transpiration-excessive\/","title":{"rendered":"Quelles sont les causes de la transpiration excessive ?"},"content":{"rendered":"<h1>WHAT ARE THE CAUSES OF EXCESSIVE SWEATING ?<\/h1>\n<p class=\"translation-block\">Excessive sweating, also called <a href=\"https:\/\/drromanovaleria.ch\/en\/needs\/body\/hyperhidrosis\/\">hyperhidrosis<\/a>, refers to sweat production beyond the normal physiological requirements of temperature regulation. This condition, often dismissed, can have a major impact on patients' quality of life. There are different forms of excessive sweating, with multiple causes ranging from neurological and endocrine factors to genetic or emotional origins. Understanding the mechanisms involved helps guide diagnosis and identify appropriate treatment options.<\/p>\n<p>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"220\" src=\"https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/05\/hydratation-peau.webp\" alt=\"image of young hydrated skin\" srcset=\"https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/05\/hydratation-peau.webp 300w, https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/05\/hydratation-peau-16x12.webp 16w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><br \/>\n\t\t\t\t\t<a href=\"https:\/\/drromanovaleria.ch\/en\/contact-doctor-romano-valeria\/\"><br \/>\n\t\t\t\t\t\t\t\t\tBook an appointment<br \/>\n\t\t\t\t\t<\/a><\/p>\n<h2>\n\t\t\t\tContents\t\t\t<\/h2>\n<p>\t\t\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M207.029 381.476L12.686 187.132c-9.373-9.373-9.373-24.569 0-33.941l22.667-22.667c9.357-9.357 24.522-9.375 33.901-.04L224 284.505l154.745-154.021c9.379-9.335 24.544-9.317 33.901.04l22.667 22.667c9.373 9.373 9.373 24.569 0 33.941L240.971 381.476c-9.373 9.372-24.569 9.372-33.942 0z\"><\/path><\/svg><br \/>\n\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M240.971 130.524l194.343 194.343c9.373 9.373 9.373 24.569 0 33.941l-22.667 22.667c-9.357 9.357-24.522 9.375-33.901.04L224 227.495 69.255 381.516c-9.379 9.335-24.544 9.317-33.901-.04l-22.667-22.667c-9.373-9.373-9.373-24.569 0-33.941L207.03 130.525c9.372-9.373 24.568-9.373 33.941-.001z\"><\/path><\/svg><br \/>\n\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M500 975V858C696 858 858 696 858 500S696 142 500 142 142 304 142 500H25C25 237 238 25 500 25S975 237 975 500 763 975 500 975Z\"><\/path><\/svg>\t\t\t<\/p>\n<h2>Sweating : an essential physiological process<\/h2>\n<p>Sweating is a natural, vital process regulated by the autonomic nervous system. Its main role is to keep body temperature stable (around 37 \u00b0C), through the evaporation of sweat produced by the sweat glands. These glands, distributed throughout the skin, are of two types :<\/p>\n<ul>\n<li>Eccrine glands, the most numerous, produce watery, odourless sweat for temperature regulation.<\/li>\n<li>Apocrine glands, located mainly in the underarms, groin and breast areolae, secrete thicker sweat that can cause body odour when broken down by bacteria.<\/li>\n<\/ul>\n<p>Under normal circumstances, the amount of sweat produced is proportional to the body's thermal requirements, particularly during physical activity, emotional stress or in response to a high ambient temperature. In excessive sweating, however, this regulation is disrupted.<\/p>\n<h2>Primary hyperhidrosis<\/h2>\n<p class=\"translation-block\">The most common form of excessive sweating is primary or essential hyperhidrosis. It accounts for around 90 % of cases and often begins in adolescence or early adulthood, with no identifiable underlying condition.<br>In primary hyperhidrosis, the mechanism involved is overactivity of the sympathetic cholinergic fibres supplying the eccrine sweat glands. This overstimulation is usually localised : this is known as focal hyperhidrosis. The most frequently affected areas are the palms (palmar hyperhidrosis), soles (plantar hyperhidrosis), underarms (axillary hyperhidrosis), face and scalp (craniofacial hyperhidrosis).<br>This form of excessive sweating is generally bilateral and symmetrical, worsens with stress or emotion and tends to decrease during sleep.<br>Studies have shown that nearly 30 to 50 % of people with primary hyperhidrosis have a family history. There therefore appears to be a genetic predisposition, although the gene or genes involved have not yet been formally identified.<\/p>\n<h2>Secondary hyperhidrosis<\/h2>\n<p>Unlike primary hyperhidrosis, secondary hyperhidrosis results from an identifiable medical condition, medicine or hormonal cause. It often presents as generalised sweating and can occur at any age, even in people with no previous history.<\/p>\n<h3>Endocrine conditions\u00a0\u00a0<\/h3>\n<p>Hormonal imbalances are among the most common causes :<\/p>\n<ul>\n<li>Hyperthyroidism : excess thyroid hormone production speeds up the basal metabolic rate, increasing heat production and therefore sweating.<\/li>\n<li>Menopause : hot flushes accompanied by heavy sweating are linked to fluctuating oestrogen levels.<\/li>\n<li>Hypoglycaemia : often associated with feeling unwell, it can cause profuse sweating.<\/li>\n<li>Phaeochromocytoma : this rare adrenal gland tumour causes episodes of high blood pressure with cold sweats.<\/li>\n<\/ul>\n<h3>Infectious, neurological and oncological causes\u00a0<\/h3>\n<p class=\"translation-block\">Some infectious conditions, particularly chronic febrile illnesses such as tuberculosis or HIV, may be accompanied by night sweats.<br>Neurological diseases such as Parkinson's disease, diabetic autonomic neuropathy or certain spinal cord injuries disrupt sweat regulation.<br>Finally, in some cases, excessive sweating may be a paraneoplastic symptom preceding the discovery of cancer, particularly lymphoma (unexplained profuse night sweats).<\/p>\n<h3>Medicines and substances\u00a0\u00a0<\/h3>\n<p>Many medicines can cause secondary excessive sweating. Those most frequently implicated include :<\/p>\n<ul>\n<li>Antidepressants (particularly serotonin reuptake inhibitors).<\/li>\n<li>Certain diabetes medicines (such as insulin).<\/li>\n<li>Anticholinesterase medicines.<\/li>\n<li>Opioid painkillers.<\/li>\n<li>Hormone replacement treatments.<\/li>\n<\/ul>\n<p>The use of psychoactive substances (alcohol, caffeine, stimulant drugs such as cocaine or amphetamines) can also trigger excessive sweating.<\/p>\n<h3>Emotional factors : stress\u00a0<\/h3>\n<p class=\"translation-block\">It should be emphasised that stress and anxiety, without being the primary cause, aggravate excessive sweating, particularly its primary form. Eccrine sweat glands are sensitive to the adrenaline released during psychological tension. This link explains why symptoms increase in emotional situations : job interviews, social interactions or public speaking.<br>This psychophysiological vicious circle can lead to anticipatory anxiety, further increasing sweat production, which often warrants a comprehensive treatment approach including psychological or behavioural support.<\/p>\n<h2>Which factors can worsen hyperhidrosis ?<\/h2>\n<p class=\"translation-block\">Several factors can intensify the symptoms of hyperhidrosis, particularly its primary form.<br>The intensity of excessive sweating is not constant : it can vary from day to day, between seasons or according to hormonal circumstances, sometimes making the condition difficult to assess. Many patients report more pronounced sweating episodes in summer, during heatwaves or in enclosed spaces. Beyond the outside temperature, however, other factors can worsen symptoms.<br>Physiologically, periods such as puberty, the menstrual cycle and menopause are often associated with worsening symptoms. This is explained by hormonal modulation of the autonomic nervous system, which partly controls sweat gland activity. In some women, unusual sweating before or during menstruation is a recurrent symptom. Similarly, hot flushes associated with perimenopause may be accompanied by excessive sweating, sometimes mistaken for true hyperhidrosis.<br>Chronic stress, performance anxiety and states of psychological hypervigilance also play a role in worsening symptoms. The more a patient fears sweating, the more it tends to occur \u2014 creating a particularly powerful vicious circle. This link between the central nervous system and the sweating system is particularly marked in palmar or facial hyperhidrosis.<br>Finally, external factors such as wearing synthetic clothing, drinking coffee or alcohol, or wearing enclosed shoes for prolonged periods can create skin conditions conducive to heavier sweating or poor moisture evaporation. Although these factors do not cause the condition, they contribute to its visibility and the discomfort it produces.<br>Recognising these aggravating factors enables patients to adopt \u2014 alongside medical treatment \u2014 a suitable lifestyle that respects their skin and physiology.<\/p>\n<h2>Why do we sweat more as we age ?<\/h2>\n<p>With age, the body undergoes physiological and hormonal changes that may disrupt temperature regulation. In women, menopause is frequently accompanied by hot flushes and night sweats due to the sharp fall in oestrogen levels. In men too, andropause can cause hormonal fluctuations leading to excessive sweating. In addition, the greater prevalence of certain chronic conditions in older people (diabetes, thyroid disorders, cardiovascular conditions), together with increased medicine use, also contributes to this tendency to sweat more.<\/p>\n<h2>Which hormone causes sweating ?<\/h2>\n<p>Sweat secretion is primarily stimulated by acetylcholine, a neurotransmitter of the autonomic nervous system that activates the eccrine sweat glands. However, certain hormones play a significant indirect role. Thyroid hormones increase the basal metabolic rate, boosting body heat production and therefore sweating. Adrenaline and noradrenaline, released in response to stress, also intensify sweating, particularly in areas rich in eccrine glands such as the palms and underarms. Finally, falling oestrogen levels in menopausal women destabilise the hypothalamic thermostat, causing heavy sweating.<\/p>\n<h2>Which illness causes excessive sweating ?<\/h2>\n<p>Several medical conditions can cause excessive sweating. Hyperthyroidism, through increased energy expenditure, is a common cause. Chronic infectious conditions such as tuberculosis or HIV can cause heavy night sweats. Lymphomas, particularly Hodgkin's disease, are known to cause unexplained excessive sweating. Diabetes, particularly with autonomic neuropathy, and adrenal tumours such as phaeochromocytoma should also be considered. Identifying the underlying cause is essential to guide treatment.<\/p>\n<h2>Which deficiency causes sweating ?<\/h2>\n<p>Certaines carences nutritionnelles, bien que rarement la cause premi\u00e8re d&rsquo;une hyperhidrose, peuvent aggraver les sympt\u00f4mes existants. Une carence en magn\u00e9sium, par exemple, peut perturber la r\u00e9gulation nerveuse autonome et accentuer les r\u00e9actions au stress, favorisant ainsi une sudation accrue. De m\u00eame, la carence en vitamine D est parfois associ\u00e9e \u00e0 une transpiration excessive du cuir chevelu chez le nourrisson, bien que cette association soit moins clairement d\u00e9montr\u00e9e chez l\u2019adulte. Il convient toutefois de ne pas attribuer l\u2019hypersudation \u00e0 une carence sans bilan m\u00e9dical pr\u00e9alable.<\/p>\n<h2>Does drinking more make you sweat more ?<\/h2>\n<p>Drinking water does not directly increase sweating, but it plays an essential role in maintaining thermal homeostasis. Conversely, excessive and unnecessary hydration may, in some cases, place additional demands on the mechanisms that eliminate water, including through sweat, particularly in hot weather or during physical activity. However, this phenomenon remains marginal : the body sweats to regulate its temperature, not to eliminate excess water consumed.<\/p>\n<h2>Can stress and anxiety cause excessive sweating?<\/h2>\n<p>Stress and anxiety are major factors in amplifying hyperhidrosis, particularly its primary form. Stimulation of the sympathetic nervous system during emotional tension releases adrenaline, causing intense activation of the eccrine glands. This often leads to localised sweating of the hands, feet or face. This phenomenon, called emotional sweating, can be disabling in social or professional settings, highlighting the value of an integrated treatment approach, sometimes incorporating mind-body techniques.<\/p>\n<h2>Can excessive sweating be a side effect of certain medicines ?<\/h2>\n<p>Yes, many medicines can cause excessive sweating as a side effect. Among the best known are antidepressants (particularly serotonin reuptake inhibitors), antipyretics, antihypertensives such as propranolol and glucose-lowering medicines such as insulin. Certain hormonal treatments, opiates and anticholinesterase medicines may also be involved. If hyperhidrosis has developed recently, it is essential to review all current treatments with the prescribing doctor.<\/p>\n<h2>Is hyperhidrosis more common in summer ?<\/h2>\n<p>Primary hyperhidrosis, although present throughout the year, tends to worsen in summer due to higher temperatures and ambient humidity. Temperature regulation is under greater demand, increasing sweat secretion. In addition, emotional sweating is exacerbated by thermal discomfort, particularly in poorly air-conditioned public or professional environments. However, secondary hyperhidrosis is not always seasonal and depends mainly on the underlying cause.<\/p>\n<h2>Which foods increase sweating ?<\/h2>\n<p>Certain foods, described as thermogenic, can intensify sweating by stimulating metabolism or causing a vascular response. These include spicy foods (chillies, curry, ginger), which activate the TRPV1 receptors involved in the sensation of heat. Caffeine and alcohol are also known to increase sweating because of their vasodilating effect and stimulating action on the central nervous system. Patients with hyperhidrosis may therefore benefit from adjusting their diet to limit these triggers.<\/p>\n<p>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/07\/photo-docteur-romano-valeria-150x150.webp\" alt=\"Photo of doctor Valeria Romano in Geneva\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/p>\n<p>Article written by <a href=\"https:\/\/drromanovaleria.ch\/en\/\">Dr Romano Valeria<\/a><\/p>\n<p>SHARE THIS ARTICLE ON<\/p>\n<p>\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 32H31.9C14.3 32 0 46.5 0 64.3v383.4C0 465.5 14.3 480 31.9 480H416c17.6 0 32-14.5 32-32.3V64.3c0-17.8-14.4-32.3-32-32.3zM135.4 416H69V202.2h66.5V416zm-33.2-243c-21.3 0-38.5-17.3-38.5-38.5S80.9 96 102.2 96c21.2 0 38.5 17.3 38.5 38.5 0 21.3-17.2 38.5-38.5 38.5zm282.1 243h-66.4V312c0-24.8-.5-56.7-34.5-56.7-34.6 0-39.9 27-39.9 54.9V416h-66.4V202.2h63.7v29.2h.9c8.9-16.8 30.6-34.5 62.9-34.5 67.2 0 79.7 44.3 79.7 101.9V416z\"><\/path><\/svg><br \/>\n\t\t\t\t\t\t\t\t\t\tLinkedIn\t\t\t\t\t\t\t\t\t<\/p>\n<ul>\n<li>\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"mailto:dr.romano.valeria@gmail.com\"><br \/>\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M502.3 190.8c3.9-3.1 9.7-.2 9.7 4.7V400c0 26.5-21.5 48-48 48H48c-26.5 0-48-21.5-48-48V195.6c0-5 5.7-7.8 9.7-4.7 22.4 17.4 52.1 39.5 154.1 113.6 21.1 15.4 56.7 47.8 92.2 47.6 35.7.3 72-32.8 92.3-47.6 102-74.1 131.6-96.3 154-113.7zM256 320c23.2.4 56.6-29.2 73.4-41.4 132.7-96.3 142.8-104.7 173.4-128.7 5.8-4.5 9.2-11.5 9.2-18.9v-19c0-26.5-21.5-48-48-48H48C21.5 64 0 85.5 0 112v19c0 7.4 3.4 14.3 9.2 18.9 30.6 23.9 40.7 32.4 173.4 128.7 16.8 12.2 50.2 41.8 73.4 41.4z\"><\/path><\/svg><br \/>\n\t\t\t\t\t\t\t\t\t\tdr.romano.valeria@gmail.com<br \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n<li>\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"tel:+41%2078%20209%2002%2089\"><br \/>\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M497.39 361.8l-112-48a24 24 0 0 0-28 6.9l-49.6 60.6A370.66 370.66 0 0 1 130.6 204.11l60.6-49.6a23.94 23.94 0 0 0 6.9-28l-48-112A24.16 24.16 0 0 0 122.6.61l-104 24A24 24 0 0 0 0 48c0 256.5 207.9 464 464 464a24 24 0 0 0 23.4-18.6l24-104a24.29 24.29 0 0 0-14.01-27.6z\"><\/path><\/svg><br \/>\n\t\t\t\t\t\t\t\t\t\t+41 78 209 02 89<br \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n<\/ul>","protected":false},"featured_media":0,"template":"elementor_header_footer","class_list":["post-28070","infographie","type-infographie","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Transpiration excessive : quelles causes et que faire ? \u2013 Dr Romano<\/title>\n<meta name=\"description\" content=\"La transpiration excessive peut \u00eatre li\u00e9e \u00e0 une hyperactivit\u00e9 des glandes sudoripares sans cause apparente (forme primaire) ou r\u00e9sulter de maladies, de m\u00e9dicaments ou du stress (forme secondaire). 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A medical evaluation helps identify the origin.La","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/drromanovaleria.ch\/en\/infographic\/causes-excessive-sweating\/","og_locale":"en_GB","og_type":"article","og_title":"Transpiration excessive : quelles causes et que faire ? \u2013 Dr Romano","og_description":"La transpiration excessive peut \u00eatre li\u00e9e \u00e0 une hyperactivit\u00e9 des glandes sudoripares sans cause apparente (forme primaire) ou r\u00e9sulter de maladies, de m\u00e9dicaments ou du stress (forme secondaire). 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